Astoria Chamber's Trivia Night Sign Up Form
Participant Information:
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Team Name
Number of Participants (up to 8)
Age Group
18-25
26-35
36-45
46-55
56 and above
Team Members
Name
Participant 1
Participant 2
Participant 3
Participant 4
Participant 5
Participant 6
Participant 7
Participant 8
Preferred Trivia Theme
Special Accommodations
Payment Method (due by 2/14/26)
Cash
Online Payment
Terms and Conditions:
By submitting this form, I acknowledge that I have read and agree to abide by the rules and regulations of the Trivia Night event.
I understand that the registration fee is non-refundable.
I consent to the use of my information for event-related communication purposes.
Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: